Most Relevant Information
Provider Data
| NPI Number: | 1003361320 |
| Provider Name: | SUSAN NALLY M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 2085R0202X |
| Specialty: | Radiology |
| License Number: | 037472 |
Most Important Dates
| Enumeration Date: | 08/16/2016 |
| Last Updated: | 08/16/2016 |
Provider Practice Location
445 HOGAN RD
HAMDEN
CT
065181927
Practice Location Phone/Fax
| Phone: | 2032309823 |
| Fax: |
Provider Mailing Location
445 HOGAN RD
HAMDEN
CT
065181927
Provider Mailing Phone/Fax
| Phone: | 2032309823 |
| Fax: |